Healthcare Provider Details

I. General information

NPI: 1588977094
Provider Name (Legal Business Name): NATIONAL FEDERATION FOR AUTISM, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2010
Last Update Date: 07/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 LINWOOD PLZ SUITE 463
FORT LEE NJ
07024-3701
US

IV. Provider business mailing address

96 LINWOOD PLAZA, SUITE 463
FORT LEE NJ
07024
US

V. Phone/Fax

Practice location:
  • Phone: 201-284-0429
  • Fax:
Mailing address:
  • Phone: 201-284-0429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCISCO MONEGRO
Title or Position: PRESIDENT/CEO
Credential: MD, PHD
Phone: 917-783-2431